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原发性腹膜炎是晚期肝硬化的严重并发症之一。国内外报告病死率高达45—95％,已引起临床重视。现将我院1978年至1986年确诊的78例肝硬化腹水并发原发性腹膜炎作一简要分析。临床资料男62例,女16例,年龄最小27岁,最大76岁,其中40至70岁者63例。肝功能重度损害71例,中度损害7例,HBSAg(+)59例,全部病例白球蛋白倒置且凝血酶元时间延长。食道胃底静脉曲张47例,尿素氮增高43例,所有病例均有中度以上腹水。37例白细胞总数在13～20×10~9/L之间,31例>20×10~9/L,中性在0.77～0.95之间者68例,白细胞数正常或偏低者10例。78例腹水均为混浊草黄包,李凡他试验全(+),34例蛋白定
Primary peritonitis is one of the serious complications of advanced cirrhosis. Domestic and international reported case fatality rate as high as 45-95%, has caused clinical attention. Now our hospital from 1978 to 1986 confirmed 78 cases of cirrhosis and ascites complicated by primary peritonitis for a brief analysis. Clinical data of 62 males and 16 females, the youngest 27 years old, maximum 76 years old, of which 40 to 70 years old in 63 cases. Seventy-one cases of severe liver damage, seven cases of moderate damage, and fifty-nine cases of HBSAg (+) were observed. All the cases of white blood globulin were upside down and the prothrombin time was prolonged. 47 cases of esophageal varicose veins, increased blood urea nitrogen in 43 cases, all cases were moderate to severe ascites. The total number of leukocytes in 37 cases was between 13 and 20 × 10 ~ 9 / L, in 31 cases> 20 × 10 ~ 9 / L, in 68 with neutrality between 0.77 and 0.95, and in 10 normal or low white blood cells. 78 cases of ascites were turbid grass yellow package, Li where he tested all (+), 34 cases of protein set